| NPI | 1477994309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CLAWSON Owner 770-778-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 174H00000X Health Educator |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |